Internet User - Vehicle Transfer Notification
Vehicle Information
 
Vehicle Identification Number*
 
Year*
Make*
Model
Body Style*
Plate No*
Title/Document Number
Seller Information
* Indicates required field
(Please enter either a business name or individual name)
Business Name*
OR
Last Name*
First Name*
MI
Suffix

Address Line 1*

Address Line 2
City*
State*
ZIP*
-

Phone
()

E-mail

Retype E-mail

Buyer Information
Please provide as much buyer information as possible. The more information you provide about the buyer, the more protection you may have from civil or criminal liability for the vehicle.
(Please enter either a business name or individual name)
Business Name
OR
Last Name
First Name
MI
Suffix

Address Line 1

Address Line 2
City
State
ZIP
-

Phone
()

E-mail

Retype E-mail

 
Transfer Details
Date of Sale (mm-dd-yyyy)*
Plates
Did you keep your license plates?*

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